JAMIE R BIRKELO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

INOPERATIVE

Business

First Name

JAMIE

Middle

Last Name

BIRKELO

Business Name

JAMIE R BIRKELO

Original Issue Date

09/08/2009

Effective Date

01/09/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025